Provider Demographics
NPI:1104061092
Name:RODMAN, KATHERINE K (ACNP, FNP)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:K
Last Name:RODMAN
Suffix:
Gender:F
Credentials:ACNP, FNP
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:RODMAN
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACNP
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:DEPT. OF SURGERY/CARDIAC & THORACIC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-4620
Practice Address - Fax:804-628-0537
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168110363LA2100X
VA2008009665363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care